St. Barnabas Hospital

All Charges

Charge

Type

Price

CLINIMIX 4.25/5

Facility OP

$0.01

Hospital Charge Code	41650360
Hospital Revenue Code	250
Max. Negotiated Rate	$0.01
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.01
Rate for Payer: Aetna Government	$0.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.01
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.01
Rate for Payer: Group Health Inc Commercial	$0.01
Rate for Payer: Group Health Inc Medicare	$0.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.01
Rate for Payer: Hamaspik Choice Inc Medicare	$0.01
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.01

CLINIMIX 5-15% 1L

Facility OP

$22.86

Hospital Charge Code	41658563
Hospital Revenue Code	250
Min. Negotiated Rate	$8.00
Max. Negotiated Rate	$18.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$12.57
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$11.43
Rate for Payer: Aetna Government	$11.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$18.29
Rate for Payer: Cigna LocalPlus Benefit Plan	$15.54
Rate for Payer: Group Health Inc Commercial	$11.43
Rate for Payer: Group Health Inc Medicare	$8.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.43
Rate for Payer: Hamaspik Choice Inc Medicare	$11.43
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$14.86

CLINIMIX 5-15% 1L

Facility OP

$22.86

Hospital Charge Code	41648563
Hospital Revenue Code	250
Min. Negotiated Rate	$8.00
Max. Negotiated Rate	$18.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$12.57
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$11.43
Rate for Payer: Aetna Government	$11.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$18.29
Rate for Payer: Cigna LocalPlus Benefit Plan	$15.54
Rate for Payer: Group Health Inc Commercial	$11.43
Rate for Payer: Group Health Inc Medicare	$8.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.43
Rate for Payer: Hamaspik Choice Inc Medicare	$11.43
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$14.86

CLINIMIX 5-15% 2L

Facility OP

$30.47

Hospital Charge Code	41648566
Hospital Revenue Code	250
Min. Negotiated Rate	$10.66
Max. Negotiated Rate	$24.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$16.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$15.24
Rate for Payer: Aetna Government	$15.24
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$24.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$20.72
Rate for Payer: Group Health Inc Commercial	$15.24
Rate for Payer: Group Health Inc Medicare	$10.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$15.24
Rate for Payer: Hamaspik Choice Inc Medicare	$15.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$19.81

CLINIMIX 5-15% 2L

Facility OP

$30.47

Hospital Charge Code	41658566
Hospital Revenue Code	250
Min. Negotiated Rate	$10.66
Max. Negotiated Rate	$24.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$16.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$15.24
Rate for Payer: Aetna Government	$15.24
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$24.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$20.72
Rate for Payer: Group Health Inc Commercial	$15.24
Rate for Payer: Group Health Inc Medicare	$10.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$15.24
Rate for Payer: Hamaspik Choice Inc Medicare	$15.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$19.81

CLINIMIX E 2.75-10% 1 L

Facility OP

$14.19

Hospital Charge Code	41658561
Hospital Revenue Code	250
Min. Negotiated Rate	$4.97
Max. Negotiated Rate	$11.35
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.10
Rate for Payer: Aetna Government	$7.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$11.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$9.65
Rate for Payer: Group Health Inc Commercial	$7.10
Rate for Payer: Group Health Inc Medicare	$4.97
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.10
Rate for Payer: Hamaspik Choice Inc Medicare	$7.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$9.22

CLINIMIX E 2.75-10% 1L

Facility OP

$14.19

Hospital Charge Code	41648561
Hospital Revenue Code	250
Min. Negotiated Rate	$4.97
Max. Negotiated Rate	$11.35
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.10
Rate for Payer: Aetna Government	$7.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$11.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$9.65
Rate for Payer: Group Health Inc Commercial	$7.10
Rate for Payer: Group Health Inc Medicare	$4.97
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.10
Rate for Payer: Hamaspik Choice Inc Medicare	$7.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$9.22

CLINIMIX E 4.25-10% 1L

Facility OP

$20.96

Hospital Charge Code	41648567
Hospital Revenue Code	250
Min. Negotiated Rate	$7.34
Max. Negotiated Rate	$16.77
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.53
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.48
Rate for Payer: Aetna Government	$10.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.77
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.25
Rate for Payer: Group Health Inc Commercial	$10.48
Rate for Payer: Group Health Inc Medicare	$7.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.48
Rate for Payer: Hamaspik Choice Inc Medicare	$10.48
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$13.62

CLINIMIX E 4.25-10% 1L

Facility OP

$20.96

Hospital Charge Code	41658567
Hospital Revenue Code	250
Min. Negotiated Rate	$7.34
Max. Negotiated Rate	$16.77
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.53
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.48
Rate for Payer: Aetna Government	$10.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.77
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.25
Rate for Payer: Group Health Inc Commercial	$10.48
Rate for Payer: Group Health Inc Medicare	$7.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.48
Rate for Payer: Hamaspik Choice Inc Medicare	$10.48
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$13.62

CLINIMIX E 4.25/5

Facility IP

$0.01

Service Code	HCPCS J3490
Hospital Charge Code	41650345
Hospital Revenue Code	636
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.01
Rate for Payer: Hamaspik Choice Inc Medicare	$0.01

CLINIMIX E 4.25/5

Facility OP

$0.01

Service Code	HCPCS J3490
Hospital Charge Code	41640345
Hospital Revenue Code	636
Max. Negotiated Rate	$0.01
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.01
Rate for Payer: Aetna Government	$0.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.01
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.01
Rate for Payer: Group Health Inc Commercial	$0.01
Rate for Payer: Group Health Inc Medicare	$0.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.01
Rate for Payer: Hamaspik Choice Inc Medicare	$0.01
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.01

CLINIMIX E 4.25/5

Facility OP

$0.01

Service Code	HCPCS J3490
Hospital Charge Code	41650345
Hospital Revenue Code	636
Max. Negotiated Rate	$0.01
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.01
Rate for Payer: Aetna Government	$0.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.01
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.01
Rate for Payer: Group Health Inc Commercial	$0.01
Rate for Payer: Group Health Inc Medicare	$0.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.01
Rate for Payer: Hamaspik Choice Inc Medicare	$0.01
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.01

CLINIMIX E 4.25/5

Facility IP

$0.01

Service Code	HCPCS J3490
Hospital Charge Code	41640345
Hospital Revenue Code	636
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.01
Rate for Payer: Hamaspik Choice Inc Medicare	$0.01

CLIN IND IMG HD TRAUMA

Facility OP

$0.01

Service Code	HCPCS G2187
Hospital Charge Code	30300315
Hospital Revenue Code	929
Max. Negotiated Rate	$0.01
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.01
Rate for Payer: Aetna Government	$0.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.01
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.01
Rate for Payer: Group Health Inc Commercial	$0.01
Rate for Payer: Group Health Inc Medicare	$0.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.01
Rate for Payer: Hamaspik Choice Inc Medicare	$0.01

CLINITRON BED WITH UPLIFT

Facility OP

$163.01

Hospital Charge Code	40209100
Hospital Revenue Code	270
Min. Negotiated Rate	$57.05
Max. Negotiated Rate	$130.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$89.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$81.50
Rate for Payer: Aetna Government	$81.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$130.41
Rate for Payer: Cigna LocalPlus Benefit Plan	$110.85
Rate for Payer: Group Health Inc Commercial	$81.50
Rate for Payer: Group Health Inc Medicare	$57.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$81.50
Rate for Payer: Hamaspik Choice Inc Medicare	$81.50

CLINITRON BED W/UPLIFT AUTOCHARGE

Facility OP

$163.01

Hospital Charge Code	40209101
Hospital Revenue Code	270
Min. Negotiated Rate	$57.05
Max. Negotiated Rate	$130.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$89.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$81.50
Rate for Payer: Aetna Government	$81.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$130.41
Rate for Payer: Cigna LocalPlus Benefit Plan	$110.85
Rate for Payer: Group Health Inc Commercial	$81.50
Rate for Payer: Group Health Inc Medicare	$57.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$81.50
Rate for Payer: Hamaspik Choice Inc Medicare	$81.50

CLINITRON THERAPY UNIT

Facility OP

$251.25

Hospital Charge Code	40200921
Hospital Revenue Code	270
Min. Negotiated Rate	$87.94
Max. Negotiated Rate	$201.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$138.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$125.62
Rate for Payer: Aetna Government	$125.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$201.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$170.85
Rate for Payer: Group Health Inc Commercial	$125.62
Rate for Payer: Group Health Inc Medicare	$87.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$125.62
Rate for Payer: Hamaspik Choice Inc Medicare	$125.62

CLINOPID

Facility OP

$0.01

Hospital Charge Code	41640227
Hospital Revenue Code	636
Max. Negotiated Rate	$0.01
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.01
Rate for Payer: Aetna Government	$0.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.01
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.01
Rate for Payer: Group Health Inc Commercial	$0.01
Rate for Payer: Group Health Inc Medicare	$0.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.01
Rate for Payer: Hamaspik Choice Inc Medicare	$0.01
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.01

CLINOPID

Facility IP

$0.01

Hospital Charge Code	41650227
Hospital Revenue Code	636
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.01
Rate for Payer: Hamaspik Choice Inc Medicare	$0.01

CLINOPID

Facility IP

$0.01

Hospital Charge Code	41640227
Hospital Revenue Code	636
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.01
Rate for Payer: Hamaspik Choice Inc Medicare	$0.01

CLINOPID

Facility OP

$0.01

Hospital Charge Code	41650227
Hospital Revenue Code	636
Max. Negotiated Rate	$0.01
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.01
Rate for Payer: Aetna Government	$0.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.01
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.01
Rate for Payer: Group Health Inc Commercial	$0.01
Rate for Payer: Group Health Inc Medicare	$0.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.01
Rate for Payer: Hamaspik Choice Inc Medicare	$0.01
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.01

CLIN SIGN VOL OVRLD ASSESS

Facility OP

$0.01

Service Code	HCPCS 2002F
Hospital Charge Code	30307897
Hospital Revenue Code	969
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.01
Rate for Payer: Aetna Government	$0.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: Group Health Inc Commercial	$0.01
Rate for Payer: Group Health Inc Medicare	$0.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.01
Rate for Payer: Hamaspik Choice Inc Medicare	$0.01

CLINTEST

Facility OP

$12.05

Hospital Charge Code	40200919
Hospital Revenue Code	270
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$9.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.63
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.02
Rate for Payer: Aetna Government	$6.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$9.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.19
Rate for Payer: Group Health Inc Commercial	$6.02
Rate for Payer: Group Health Inc Medicare	$4.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.02
Rate for Payer: Hamaspik Choice Inc Medicare	$6.02

CLIN WEEKLY MGMT 1OR2 FRACT

Facility OP

$740.78

Service Code	HCPCS 77431
Hospital Charge Code	66542951
Hospital Revenue Code	333
Min. Negotiated Rate	$126.64
Max. Negotiated Rate	$592.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$407.43
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$127.73
Rate for Payer: Aetna Government	$127.73
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$592.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$503.73
Rate for Payer: Fidelis CHP/HARP/Medicaid	$279.92
Rate for Payer: Fidelis Essential Plan Aliesa	$279.92
Rate for Payer: Fidelis Essential Plan QHP	$294.00
Rate for Payer: Fidelis Qualified Health Plan	$294.00
Rate for Payer: Group Health Inc Commercial	$370.39
Rate for Payer: Group Health Inc Medicare	$259.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$370.39
Rate for Payer: Hamaspik Choice Inc Medicare	$370.39
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$126.64

CLIP APPLIER AUTO

Facility OP

$140.15

Hospital Charge Code	64907084
Hospital Revenue Code	270
Min. Negotiated Rate	$49.05
Max. Negotiated Rate	$112.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$77.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$70.08
Rate for Payer: Aetna Government	$70.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$112.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$95.30
Rate for Payer: Group Health Inc Commercial	$70.08
Rate for Payer: Group Health Inc Medicare	$49.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$70.08
Rate for Payer: Hamaspik Choice Inc Medicare	$70.08

Price Transparency.

All Charges